2. Assess the thyroid status
3. Look at this pts neck
1. Indroduce u r self, while shaking hands note whether the palms are warm & sweaty.
Inspect neck from anteriorly
-Look for the JVP
-Scars of the neck
-Enlarged Cervical LN
Ask the patient to take a sip of water,
Hold it, and then swallow it
Observe the movement of the gland
Ask the patient to stick the tounge out
Look for thyroglossal cyst
Do tell pt u r going to fell the neck& Ask for gland tenderness.
Stand behind the patient.
Feel the thyroid gland
Feel the isthmus
Feel for: diffuse goitre
Any area of focal nodularity
Size and texture
Note the following
-palpate cervical LN
-Test sternomastoid to rule out its involvement in malignancy.
Ask the patient to take onother sip of water while feeling the thyroid movement.
4. Auscultate with the diaphragm bilaterally for briut, carotid bruits
5. Percuss for retrosternal extension
Conclusion: describe the gland and say I would like to examine the status.
Examine the thyroid status:
Hyperactive, fidegty, restless
Tremers of out streched arm